Three-star rating from The Society of Thoracic Surgeons

Heart Center2018 OVERVIEW AND OUTCOMES

For more about the program, visit rileychildrens.org/heartcenter.

To refer a patient to the Riley Heart Center, call 317.94.HEART.

For more about the program, visit rileychildrens.org/heartcenter.

To refer a patient to the Riley Heart Center, call 317.94.HEART.

©2019 IUHealth 12/19 #31969

About Riley Children’s HealthThe children’s health system of Indiana University Health, Riley Children’s Health has 200 primary care and 400 specialty care physicians across 40 specialties delivering healthcare for children of all ages. Its flagship hospital in downtown Indianapolis—Riley Hospital for Children at Indiana University Health—is the only pediatric research hospital in Indiana and is among the few children’s hospitals nationally to be ranked in multiple pediatric specialties.

100% NORWOOD SURVIVALupon discharge (2016–2018)

0 10 20 30 40 50

Post-operative length of stay

Riley STS hospitals

Source: STS Benchmark Operations Table 18 for STS Data Harvest | January 2015 – December 2018

Off By-passCoarctation

VSD

TOF

AVC

ASO

ASO + VSD

Glenn/Hemi Fontan

Fontan

Truncus

Norwood 44

31.5

13.3

14.2

17

10

11.75

712.1

29.7

9

14.522

17.4

17.9

9.2

7

48.4

9

Cardiovascular Intensive Care Unit (CVICU)Source: Pediatric Cardiac Critical Care Consortium (PC4) | 2018

Patient outcomes and experience

Riley patients return home an average of 4 days sooner than the STS national median across 10 procedures with accordingly better overall mortality.

Riley at IU Health has earned the Extracorporeal Life Support Organization’s highest designation—the Platinum Level Center of Excellence.

NEONATES/INFANTS/CHILDREN/ADULTS

# DEATHS/ELIGIBLERILEY

OBSERVED MORTALITYRILEY

EXPECTED MORTALITYRILEY

STS OVERALL

All STAT Mortality Categories 28/1,385 2.3% 3.7% 2.8%

STAT Category 1 4/414 1.0% 0.4% 0.4%

STAT Category 2 6/387 1.6% 1.9% 1.5%

STAT Category 3 0/198 0.0% 1.8% 2.1%

STAT Category 4 16/326 4.9% 9.8% 6.3%

STAT Category 5 2/60 3.3% 17.0% 13.9%

Operative and adjusted operative mortalitySource: Society of Thoracic Surgeons (STS) Congenital Heart Surgery Data Summary, Table 16 and public reporting | January 2015 – December 2018; publicreporting.sts.org/chsd

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

STAT 1 STAT 2 STAT 3 STAT 4 STAT 5 OVERALL

1.0% 1.6% 1.9% 1.8%

4.9%3.3%

2.3%3.7%

Riley Observed Mortality Rate Expected Mortality Rate

0.4% 0.0%

9.8%

17.0%

LEASTCOMPLEX

MOSTCOMPLEX

ACQUIRED INFECTIONS RILEY

CA-BSI per 1,000 line days 0 per 1,000

CAUTI per 1,000 catheter days 0 per 1,000

SSI per 100 surgical procedures 0 per 100

SURGICAL SITE INFECTIONS2016 – 2018

Surgical site infectionsSource: Pediatric Cardiac Critical Care Consortium (PC4) | 2018

0

As a repeat recipient of the three-star rating from The Society of Thoracic Surgeons, Riley at IU Health is recognized for lower-than-expected operative mortality.

“ Riley heart patients and families benefit from a skilled team that consistently delivers exceptional outcomes. We offer the full spectrum of cardiovascular services to manage the most common to the most complex congenital and acquired conditions, making nationally ranked heart care accessible right here in Indiana.”

Larry W. Markham, MD, MSDirector, Pediatric Cardiology, Riley Heart Center

Phillip Murray Professor of Pediatric Cardiology, IU School of Medicine

Expert heart care, global impactThrough partnerships with hospitals in the Middle East, Asia and Africa, Riley Heart Center specialists and team members have traveled the globe, volunteering their time to treat more than 400 patients since

2006 and to train local clinical teams in advanced heart care.

Partner hospitals

“ From fetal diagnosis to complex surgical interventions like the Ross procedure, Riley’s range of expertise makes it possible to deliver the full continuum of heart care to infants, children and adults with congenital heart defects.”

Mark W. Turrentine, MDDirector, Cardiovascular Surgery, Riley Heart Center

John W. Brown Professor of Cardiothoracic Surgery, IU School of Medicine

■ Al Khalidi Hospital – Amman, Jordan

■ Mulago Hospital – Kampala, Uganda

■ Beijing Children’s Hospital – Beijing, China

■ Hammoud Hospital -- Saida, Lebanon

Mechanical Support Simulation LabThe Riley Heart Center develops medical simulations to teach procedures, medical concepts and decision-making to team members. Simulation training is offered on a variety of devices, including Pedimag, ECMO, ECPR, VAD, balloon pump and SynCardia.

Riley Cardiac Surgery volume 545STS Cardiac Surgery benchmark volume 250

Cardiovascular Genetics ProgramWith the only comprehensive cardiovascular genetics program in Indiana, the Riley Heart Center provides complete genetic evaluation of all family members, along with coordinated heart screenings for such inherited conditions as cardiomyopathy, arrhythmia, and aortic aneurysm. This multidisciplinary program includes both clinical care and research in the wide spectrum of conditions in children and young adults. Our specialists are nationally recognized for their work with the Cardiovascular Malformations Consortium.

Fetal Cardiology ProgramAs partners in the Riley Fetal Center, cardiologists evaluate the cardiac condition of the fetus using in-depth diagnostic imaging and participate in care conferences with specialists in neonatology, obstetrics and cardiothoracic surgery. Patient volume has nearly doubled in the past seven years with Riley heart specialists conducting an average of 1,640 fetal echocardiograms annually.

Heart Transplant/Mechanical Circulatory Support ProgramThe Riley Heart Center, part of the IU Health Transplant Program, is one of the founding hospitals of the Pediatric Heart Transplant Society, an organization of 50 U.S. hospitals and hospitals in Canada, the United Kingdom and Brazil. Since the program’s inception in 1989, Riley cardiovascular surgeons have completed more than 160 pediatric heart transplants. Riley is the only pediatric heart center in Indiana capable of implanting mechanical support devices, including total artificial hearts.

Unique care modelAnchored by world-class facilities, the latest technology and a team of skilled professionals, the Riley Heart Center provides the full continuum of care from fetuses and premature babies to adults who survive with congenital heart disease or discover it later in life.

Comprehensive inpatient care 100% ONE-YEAR HEART

TRANSPLANT SURVIVAL(2013–2017)

Patient-focused researchThe Riley Heart Center is affiliated with Indiana University School of

Medicine, one of the nation’s largest medical schools and one of the highest funded institutions for pediatric research by the National Institutes of Health (NIH). The heart center is active in interventional and observational trials—newborn through adolescence and adulthood.

There are 63 ongoing active research studies representing the work of four clinical sections of the Riley Heart Center.

Riley is one of 10 NIH-funded Pediatric Heart Network centers enrolling patients in clinical trials focused not only on improving outcomes, but also improving quality of life. Riley’s basic and physician scientists conduct innovative bench research concentrating on identifying new biomarkers and advancing knowledge of the basic mechanisms underlying heart formation and function.

Currently one of only 10 hospitals in the U.S. with the

highest quality rating (three-star) from The Society of Thoracic

Surgeons (STS), the Riley Heart Center is one of the nation’s

more highly respected programs for diagnosis and

treatment of congenital and acquired heart conditions in children.

With consistently high volumes and a unique integrated care

model, Riley achieves exceptional patient outcomes

year after year and one of only five programs

earning both a three-star STS rating and a top-10 placement

in U.S. News & World Report.

Destination for advanced training In partnership with IU School of Medicine, the Riley Heart Center offers training programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). Fellowships include:

■ Cardiology

■ Cardiothoracic surgery

■ Cardiac intensive care

4 congenital cardiac surgeons

25 pediatric cardiologists

3 adult congenital cardiologists

7 pediatric cardiovascular intensivists

7 cardiac-dedicated neonatologists

8 pediatric cardiac anesthesiologists

10 dedicated cardiac advanced practice providers

124 pediatric CV nurses dedicated to the heart center

Specialized programs

Pulmonary Hypertension ProgramAs a regional referral center for pediatric pulmonary hypertension, Riley at IU Health offers inpatient and outpatient consultation by a cardiologist, pulmonologist and dedicated nursing team. Program highlights include:

■ Participation in multiple clinical trials to evaluate the safety and efficacy of medications

■ Engagement in collaborative research with other centers to improve care quality, shape practice and elevate standard of care

■ Leadership in the Pulmonary Hypertension Professionals Network and the Pulmonary Hypertension Association

Single Ventricle Home Monitoring ProgramLaunched in 2010 to help decrease interstage mortality for babies born with hypoplastic left heart syndrome, this program has evolved to include all babies with single ventricle physiology discharged after initial intervention. Parents with questions or concerns are able to contact an on-call nurse practitioner via text message or phone, and there is 24/7 coverage by a cardiology staff physician. In 2017, Riley at IU Health implemented a novel, web-based iPad program to assist parents in tracking and enable the cardiac medical team to evaluate data in real time.

3OPERATING SUITES

specially designed for CV cases

2ADVANCED HYBRID

CATHETERIZATION LABS

Leadership in the management of complex anatomy:

■ The Ross procedure

■ Heart transplantation (including adult congenital)

■ Severely hypoplastic pulmonary artery staged rehabilitation

■ Resection of complex atrial and ventricular-based tumors

Annually, the Riley Heart Center team:

■ Completes more than 600 cardiac catheterizations

■ Interpets more than 17,300 echocardiograms

■ Conducts more than 11,000 outpatient visits

Skilled multidisciplinary team From birth to discharge home, babies are under the care of a team of cardiac-dedicated specialists including neonatologists, cardiologists, and critical care physicians, all in the Riley Heart Center.

■ Neonatology with a cardiovascular rotation

■ Cardiac anesthesia

■ Pediatric intensive care

One of the highest-volume pediatric heart programs in the nation

Heart care in Indiana and beyondRiley cardiologists provide outpatient care at 13 practice locations, in 12 Indiana communities. Services include diagnosis, consultation, treatment and follow-up care. The team also provides fetal echo-cardiograms in four locations. The Riley Heart Center attracts patients from more than 21 states and five continents.

36BEDS

12 CVICU | 16 step down 8 neonatal cardiac unit

Three-star rating from The Society of Thoracic Surgeons

Heart Center2018 OVERVIEW AND OUTCOMES

For more about the program, visit rileychildrens.org/heartcenter.

To refer a patient to the Riley Heart Center, call 317.94.HEART.

For more about the program, visit rileychildrens.org/heartcenter.

To refer a patient to the Riley Heart Center, call 317.94.HEART.

©2019 IUHealth 12/19 #31969

About Riley Children’s HealthThe children’s health system of Indiana University Health, Riley Children’s Health has 200 primary care and 400 specialty care physicians across 40 specialties delivering healthcare for children of all ages. Its flagship hospital in downtown Indianapolis—Riley Hospital for Children at Indiana University Health—is the only pediatric research hospital in Indiana and is among the few children’s hospitals nationally to be ranked in multiple pediatric specialties.

100% NORWOOD SURVIVALupon discharge (2016–2018)

0 10 20 30 40 50

Post-operative length of stay

Riley STS hospitals

Source: STS Benchmark Operations Table 18 for STS Data Harvest | January 2015 – December 2018

Off By-passCoarctation

VSD

TOF

AVC

ASO

ASO + VSD

Glenn/Hemi Fontan

Fontan

Truncus

Norwood 44

31.5

13.3

14.2

17

10

11.75

712.1

29.7

9

14.522

17.4

17.9

9.2

7

48.4

9

Cardiovascular Intensive Care Unit (CVICU)Source: Pediatric Cardiac Critical Care Consortium (PC4) | 2018

Patient outcomes and experience

Riley patients return home an average of 4 days sooner than the STS national median across 10 procedures with accordingly better overall mortality.

Riley at IU Health has earned the Extracorporeal Life Support Organization’s highest designation—the Platinum Level Center of Excellence.

NEONATES/INFANTS/CHILDREN/ADULTS

# DEATHS/ELIGIBLERILEY

OBSERVED MORTALITYRILEY

EXPECTED MORTALITYRILEY

STS OVERALL

All STAT Mortality Categories 28/1,385 2.3% 3.7% 2.8%

STAT Category 1 4/414 1.0% 0.4% 0.4%

STAT Category 2 6/387 1.6% 1.9% 1.5%

STAT Category 3 0/198 0.0% 1.8% 2.1%

STAT Category 4 16/326 4.9% 9.8% 6.3%

STAT Category 5 2/60 3.3% 17.0% 13.9%

Operative and adjusted operative mortalitySource: Society of Thoracic Surgeons (STS) Congenital Heart Surgery Data Summary, Table 16 and public reporting | January 2015 – December 2018; publicreporting.sts.org/chsd

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

STAT 1 STAT 2 STAT 3 STAT 4 STAT 5 OVERALL

1.0% 1.6% 1.9% 1.8%

4.9%3.3%

2.3%3.7%

Riley Observed Mortality Rate Expected Mortality Rate

0.4% 0.0%

9.8%

17.0%

LEASTCOMPLEX

MOSTCOMPLEX

ACQUIRED INFECTIONS RILEY

CA-BSI per 1,000 line days 0 per 1,000

CAUTI per 1,000 catheter days 0 per 1,000

SSI per 100 surgical procedures 0 per 100

SURGICAL SITE INFECTIONS2016 – 2018

Surgical site infectionsSource: Pediatric Cardiac Critical Care Consortium (PC4) | 2018

0

As a repeat recipient of the three-star rating from The Society of Thoracic Surgeons, Riley at IU Health is recognized for lower-than-expected operative mortality.

“ Riley heart patients and families benefit from a skilled team that consistently delivers exceptional outcomes. We offer the full spectrum of cardiovascular services to manage the most common to the most complex congenital and acquired conditions, making nationally ranked heart care accessible right here in Indiana.”

Larry W. Markham, MD, MSDirector, Pediatric Cardiology, Riley Heart Center

Phillip Murray Professor of Pediatric Cardiology, IU School of Medicine

Expert heart care, global impactThrough partnerships with hospitals in the Middle East, Asia and Africa, Riley Heart Center specialists and team members have traveled the globe, volunteering their time to treat more than 400 patients since

2006 and to train local clinical teams in advanced heart care.

Partner hospitals

“ From fetal diagnosis to complex surgical interventions like the Ross procedure, Riley’s range of expertise makes it possible to deliver the full continuum of heart care to infants, children and adults with congenital heart defects.”

Mark W. Turrentine, MDDirector, Cardiovascular Surgery, Riley Heart Center

John W. Brown Professor of Cardiothoracic Surgery, IU School of Medicine

■ Al Khalidi Hospital – Amman, Jordan

■ Mulago Hospital – Kampala, Uganda

■ Beijing Children’s Hospital – Beijing, China

■ Hammoud Hospital -- Saida, Lebanon

Mechanical Support Simulation LabThe Riley Heart Center develops medical simulations to teach procedures, medical concepts and decision-making to team members. Simulation training is offered on a variety of devices, including Pedimag, ECMO, ECPR, VAD, balloon pump and SynCardia.

Riley Cardiac Surgery volume 545STS Cardiac Surgery benchmark volume 250

Cardiovascular Genetics ProgramWith the only comprehensive cardiovascular genetics program in Indiana, the Riley Heart Center provides complete genetic evaluation of all family members, along with coordinated heart screenings for such inherited conditions as cardiomyopathy, arrhythmia, and aortic aneurysm. This multidisciplinary program includes both clinical care and research in the wide spectrum of conditions in children and young adults. Our specialists are nationally recognized for their work with the Cardiovascular Malformations Consortium.

Fetal Cardiology ProgramAs partners in the Riley Fetal Center, cardiologists evaluate the cardiac condition of the fetus using in-depth diagnostic imaging and participate in care conferences with specialists in neonatology, obstetrics and cardiothoracic surgery. Patient volume has nearly doubled in the past seven years with Riley heart specialists conducting an average of 1,640 fetal echocardiograms annually.

Heart Transplant/Mechanical Circulatory Support ProgramThe Riley Heart Center, part of the IU Health Transplant Program, is one of the founding hospitals of the Pediatric Heart Transplant Society, an organization of 50 U.S. hospitals and hospitals in Canada, the United Kingdom and Brazil. Since the program’s inception in 1989, Riley cardiovascular surgeons have completed more than 160 pediatric heart transplants. Riley is the only pediatric heart center in Indiana capable of implanting mechanical support devices, including total artificial hearts.

Unique care modelAnchored by world-class facilities, the latest technology and a team of skilled professionals, the Riley Heart Center provides the full continuum of care from fetuses and premature babies to adults who survive with congenital heart disease or discover it later in life.

Comprehensive inpatient care 100% ONE-YEAR HEART

TRANSPLANT SURVIVAL(2013–2017)

Patient-focused researchThe Riley Heart Center is affiliated with Indiana University School of

Medicine, one of the nation’s largest medical schools and one of the highest funded institutions for pediatric research by the National Institutes of Health (NIH). The heart center is active in interventional and observational trials—newborn through adolescence and adulthood.

There are 63 ongoing active research studies representing the work of four clinical sections of the Riley Heart Center.

Riley is one of 10 NIH-funded Pediatric Heart Network centers enrolling patients in clinical trials focused not only on improving outcomes, but also improving quality of life. Riley’s basic and physician scientists conduct innovative bench research concentrating on identifying new biomarkers and advancing knowledge of the basic mechanisms underlying heart formation and function.

Currently one of only 10 hospitals in the U.S. with the

highest quality rating (three-star) from The Society of Thoracic

Surgeons (STS), the Riley Heart Center is one of the nation’s

more highly respected programs for diagnosis and

treatment of congenital and acquired heart conditions in children.

With consistently high volumes and a unique integrated care

model, Riley achieves exceptional patient outcomes

year after year and one of only five programs

earning both a three-star STS rating and a top-10 placement

in U.S. News & World Report.

Destination for advanced training In partnership with IU School of Medicine, the Riley Heart Center offers training programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). Fellowships include:

■ Cardiology

■ Cardiothoracic surgery

■ Cardiac intensive care

4 congenital cardiac surgeons

25 pediatric cardiologists

3 adult congenital cardiologists

7 pediatric cardiovascular intensivists

7 cardiac-dedicated neonatologists

8 pediatric cardiac anesthesiologists

10 dedicated cardiac advanced practice providers

124 pediatric CV nurses dedicated to the heart center

Specialized programs

Pulmonary Hypertension ProgramAs a regional referral center for pediatric pulmonary hypertension, Riley at IU Health offers inpatient and outpatient consultation by a cardiologist, pulmonologist and dedicated nursing team. Program highlights include:

■ Participation in multiple clinical trials to evaluate the safety and efficacy of medications

■ Engagement in collaborative research with other centers to improve care quality, shape practice and elevate standard of care

■ Leadership in the Pulmonary Hypertension Professionals Network and the Pulmonary Hypertension Association

Single Ventricle Home Monitoring ProgramLaunched in 2010 to help decrease interstage mortality for babies born with hypoplastic left heart syndrome, this program has evolved to include all babies with single ventricle physiology discharged after initial intervention. Parents with questions or concerns are able to contact an on-call nurse practitioner via text message or phone, and there is 24/7 coverage by a cardiology staff physician. In 2017, Riley at IU Health implemented a novel, web-based iPad program to assist parents in tracking and enable the cardiac medical team to evaluate data in real time.

3OPERATING SUITES

specially designed for CV cases

2ADVANCED HYBRID

CATHETERIZATION LABS

Leadership in the management of complex anatomy:

■ The Ross procedure

■ Heart transplantation (including adult congenital)

■ Severely hypoplastic pulmonary artery staged rehabilitation

■ Resection of complex atrial and ventricular-based tumors

Annually, the Riley Heart Center team:

■ Completes more than 600 cardiac catheterizations

■ Interpets more than 17,300 echocardiograms

■ Conducts more than 11,000 outpatient visits

Skilled multidisciplinary team From birth to discharge home, babies are under the care of a team of cardiac-dedicated specialists including neonatologists, cardiologists, and critical care physicians, all in the Riley Heart Center.

■ Neonatology with a cardiovascular rotation

■ Cardiac anesthesia

■ Pediatric intensive care

One of the highest-volume pediatric heart programs in the nation

Heart care in Indiana and beyondRiley cardiologists provide outpatient care at 13 practice locations, in 12 Indiana communities. Services include diagnosis, consultation, treatment and follow-up care. The team also provides fetal echo-cardiograms in four locations. The Riley Heart Center attracts patients from more than 21 states and five continents.

36BEDS

12 CVICU | 16 step down 8 neonatal cardiac unit

“ Riley heart patients and families benefit from a skilled team that consistently delivers exceptional outcomes. We offer the full spectrum of cardiovascular services to manage the most common to the most complex congenital and acquired conditions, making nationally ranked heart care accessible right here in Indiana.”

Larry W. Markham, MD, MSDirector, Pediatric Cardiology, Riley Heart Center

Phillip Murray Professor of Pediatric Cardiology, IU School of Medicine

Expert heart care, global impactThrough partnerships with hospitals in the Middle East, Asia and Africa, Riley Heart Center specialists and team members have traveled the globe, volunteering their time to treat more than 400 patients since

2006 and to train local clinical teams in advanced heart care.

Partner hospitals

“ From fetal diagnosis to complex surgical interventions like the Ross procedure, Riley’s range of expertise makes it possible to deliver the full continuum of heart care to infants, children and adults with congenital heart defects.”

Mark W. Turrentine, MDDirector, Cardiovascular Surgery, Riley Heart Center

John W. Brown Professor of Cardiothoracic Surgery, IU School of Medicine

■ Al Khalidi Hospital – Amman, Jordan

■ Mulago Hospital – Kampala, Uganda

■ Beijing Children’s Hospital – Beijing, China

■ Hammoud Hospital -- Saida, Lebanon

Mechanical Support Simulation LabThe Riley Heart Center develops medical simulations to teach procedures, medical concepts and decision-making to team members. Simulation training is offered on a variety of devices, including Pedimag, ECMO, ECPR, VAD, balloon pump and SynCardia.

Riley Cardiac Surgery volume 545STS Cardiac Surgery benchmark volume 250

Cardiovascular Genetics ProgramWith the only comprehensive cardiovascular genetics program in Indiana, the Riley Heart Center provides complete genetic evaluation of all family members, along with coordinated heart screenings for such inherited conditions as cardiomyopathy, arrhythmia, and aortic aneurysm. This multidisciplinary program includes both clinical care and research in the wide spectrum of conditions in children and young adults. Our specialists are nationally recognized for their work with the Cardiovascular Malformations Consortium.

Fetal Cardiology ProgramAs partners in the Riley Fetal Center, cardiologists evaluate the cardiac condition of the fetus using in-depth diagnostic imaging and participate in care conferences with specialists in neonatology, obstetrics and cardiothoracic surgery. Patient volume has nearly doubled in the past seven years with Riley heart specialists conducting an average of 1,640 fetal echocardiograms annually.

Heart Transplant/Mechanical Circulatory Support ProgramThe Riley Heart Center, part of the IU Health Transplant Program, is one of the founding hospitals of the Pediatric Heart Transplant Society, an organization of 50 U.S. hospitals and hospitals in Canada, the United Kingdom and Brazil. Since the program’s inception in 1989, Riley cardiovascular surgeons have completed more than 160 pediatric heart transplants. Riley is the only pediatric heart center in Indiana capable of implanting mechanical support devices, including total artificial hearts.

Unique care modelAnchored by world-class facilities, the latest technology and a team of skilled professionals, the Riley Heart Center provides the full continuum of care from fetuses and premature babies to adults who survive with congenital heart disease or discover it later in life.

Comprehensive inpatient care 100% ONE-YEAR HEART

TRANSPLANT SURVIVAL(2013–2017)

Patient-focused researchThe Riley Heart Center is affiliated with Indiana University School of

Medicine, one of the nation’s largest medical schools and one of the highest funded institutions for pediatric research by the National Institutes of Health (NIH). The heart center is active in interventional and observational trials—newborn through adolescence and adulthood.

There are 63 ongoing active research studies representing the work of four clinical sections of the Riley Heart Center.

Riley is one of 10 NIH-funded Pediatric Heart Network centers enrolling patients in clinical trials focused not only on improving outcomes, but also improving quality of life. Riley’s basic and physician scientists conduct innovative bench research concentrating on identifying new biomarkers and advancing knowledge of the basic mechanisms underlying heart formation and function.

Currently one of only 10 hospitals in the U.S. with the

highest quality rating (three-star) from The Society of Thoracic

Surgeons (STS), the Riley Heart Center is one of the nation’s

more highly respected programs for diagnosis and

treatment of congenital and acquired heart conditions in children.

With consistently high volumes and a unique integrated care

model, Riley achieves exceptional patient outcomes

year after year and one of only five programs

earning both a three-star STS rating and a top-10 placement

in U.S. News & World Report.

Destination for advanced training In partnership with IU School of Medicine, the Riley Heart Center offers training programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). Fellowships include:

■ Cardiology

■ Cardiothoracic surgery

■ Cardiac intensive care

4 congenital cardiac surgeons

25 pediatric cardiologists

3 adult congenital cardiologists

7 pediatric cardiovascular intensivists

7 cardiac-dedicated neonatologists

8 pediatric cardiac anesthesiologists

10 dedicated cardiac advanced practice providers

124 pediatric CV nurses dedicated to the heart center

Specialized programs

Pulmonary Hypertension ProgramAs a regional referral center for pediatric pulmonary hypertension, Riley at IU Health offers inpatient and outpatient consultation by a cardiologist, pulmonologist and dedicated nursing team. Program highlights include:

■ Participation in multiple clinical trials to evaluate the safety and efficacy of medications

■ Engagement in collaborative research with other centers to improve care quality, shape practice and elevate standard of care

■ Leadership in the Pulmonary Hypertension Professionals Network and the Pulmonary Hypertension Association

Single Ventricle Home Monitoring ProgramLaunched in 2010 to help decrease interstage mortality for babies born with hypoplastic left heart syndrome, this program has evolved to include all babies with single ventricle physiology discharged after initial intervention. Parents with questions or concerns are able to contact an on-call nurse practitioner via text message or phone, and there is 24/7 coverage by a cardiology staff physician. In 2017, Riley at IU Health implemented a novel, web-based iPad program to assist parents in tracking and enable the cardiac medical team to evaluate data in real time.

3OPERATING SUITES

specially designed for CV cases

2ADVANCED HYBRID

CATHETERIZATION LABS

Leadership in the management of complex anatomy:

■ The Ross procedure

■ Heart transplantation (including adult congenital)

■ Severely hypoplastic pulmonary artery staged rehabilitation

■ Resection of complex atrial and ventricular-based tumors

Annually, the Riley Heart Center team:

■ Completes more than 600 cardiac catheterizations

■ Interpets more than 17,300 echocardiograms

■ Conducts more than 11,000 outpatient visits

Skilled multidisciplinary team From birth to discharge home, babies are under the care of a team of cardiac-dedicated specialists including neonatologists, cardiologists, and critical care physicians, all in the Riley Heart Center.

■ Neonatology with a cardiovascular rotation

■ Cardiac anesthesia

■ Pediatric intensive care

One of the highest-volume pediatric heart programs in the nation

Heart care in Indiana and beyondRiley cardiologists provide outpatient care at 13 practice locations, in 12 Indiana communities. Services include diagnosis, consultation, treatment and follow-up care. The team also provides fetal echo-cardiograms in four locations. The Riley Heart Center attracts patients from more than 21 states and five continents.

36BEDS

12 CVICU | 16 step down 8 neonatal cardiac unit

Three-star rating from The Society of Thoracic Surgeons

Heart Center2018 OVERVIEW AND OUTCOMES

For more about the program, visit rileychildrens.org/heartcenter.

To refer a patient to the Riley Heart Center, call 317.94.HEART.

For more about the program, visit rileychildrens.org/heartcenter.

To refer a patient to the Riley Heart Center, call 317.94.HEART.

©2019 IUHealth 12/19 #31969

About Riley Children’s HealthThe children’s health system of Indiana University Health, Riley Children’s Health has 200 primary care and 400 specialty care physicians across 40 specialties delivering healthcare for children of all ages. Its flagship hospital in downtown Indianapolis—Riley Hospital for Children at Indiana University Health—is the only pediatric research hospital in Indiana and is among the few children’s hospitals nationally to be ranked in multiple pediatric specialties.

100% NORWOOD SURVIVALupon discharge (2016–2018)

0 10 20 30 40 50

Post-operative length of stay

Riley STS hospitals

Source: STS Benchmark Operations Table 18 for STS Data Harvest | January 2015 – December 2018

Off By-passCoarctation

VSD

TOF

AVC

ASO

ASO + VSD

Glenn/Hemi Fontan

Fontan

Truncus

Norwood 44

31.5

13.3

14.2

17

10

11.75

712.1

29.7

9

14.522

17.4

17.9

9.2

7

48.4

9

Cardiovascular Intensive Care Unit (CVICU)Source: Pediatric Cardiac Critical Care Consortium (PC4) | 2018

Patient outcomes and experience

Riley patients return home an average of 4 days sooner than the STS national median across 10 procedures with accordingly better overall mortality.

Riley at IU Health has earned the Extracorporeal Life Support Organization’s highest designation—the Platinum Level Center of Excellence.

NEONATES/INFANTS/CHILDREN/ADULTS

# DEATHS/ELIGIBLERILEY

OBSERVED MORTALITYRILEY

EXPECTED MORTALITYRILEY

STS OVERALL

All STAT Mortality Categories 28/1,385 2.3% 3.7% 2.8%

STAT Category 1 4/414 1.0% 0.4% 0.4%

STAT Category 2 6/387 1.6% 1.9% 1.5%

STAT Category 3 0/198 0.0% 1.8% 2.1%

STAT Category 4 16/326 4.9% 9.8% 6.3%

STAT Category 5 2/60 3.3% 17.0% 13.9%

Operative and adjusted operative mortalitySource: Society of Thoracic Surgeons (STS) Congenital Heart Surgery Data Summary, Table 16 and public reporting | January 2015 – December 2018; publicreporting.sts.org/chsd

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

STAT 1 STAT 2 STAT 3 STAT 4 STAT 5 OVERALL

1.0% 1.6% 1.9% 1.8%

4.9%3.3%

2.3%3.7%

Riley Observed Mortality Rate Expected Mortality Rate

0.4% 0.0%

9.8%

17.0%

LEASTCOMPLEX

MOSTCOMPLEX

ACQUIRED INFECTIONS RILEY

CA-BSI per 1,000 line days 0 per 1,000

CAUTI per 1,000 catheter days 0 per 1,000

SSI per 100 surgical procedures 0 per 100

SURGICAL SITE INFECTIONS2016 – 2018

Surgical site infectionsSource: Pediatric Cardiac Critical Care Consortium (PC4) | 2018

0

As a repeat recipient of the three-star rating from The Society of Thoracic Surgeons, Riley at IU Health is recognized for lower-than-expected operative mortality.